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OB 6 OB Complic II

Obstetric Complications Part II

QuestionAnswer
Which congenital infxn might present with a blueberry muffin rash? Rubella
A child has flesh-colored umbilicated lesions to the face. What are these lesions, and where do they appear in adults? Molluscum contagiosum. Perigenital/perianal regions in adults b/c they are sexually transmitted. Oh snap!
Which childhood psych d/o matches the following statement?: females only, loss of prev acquired language and motor skills Rett's d/o
Which childhood psych d/o matches the following statement?: impairments in social interactions, communications, play, repetitive behaviors Autism
Which childhood psych d/o matches the following statement?: impairment in social interaction (but not avoidance), no language delay Aspergers
Which childhood psych d/o matches the following statement?: stereotyped hand movements Rett's
Which childhood psych d/o matches the following statement?: ignoring the basic rights of others conduct d/o
Which childhood psych d/o matches the following statement?: characterized by hostility, annoyance, vindictiveness, disobedience, and resentfulness ODD
Which childhood psych d/o matches the following statement?: multiple motor and vocal tics Tourette's
Which childhood psych d/o matches the following statement?: impulsive and inattentive ADHD
Which childhood psych d/o matches the following statement?: 7yo that avoids going to school to stay home with parent Separation anxiety d/o
What is the AFI definition of oligohydramnios? AFI <5cm on US
What is the AFT definition of polyhydramnios? AFI>25cm on US
What is the most frequent initial US finding for IUGR? Abd circumference <10% for gestational age
How would gastroesophageal atresia affect the amt of amniotic fluid? Incr
What might cause oligohydramnios in the 2nd trimester? fetal: renal problems. maternal: pre-eclamp, HTN, cardiovasc dz, placental thrombosis, amniocentesis
What might cause oligohydramnios in the 3rd trimester? PROM, pre-eclamp, abruptio placenta, idiopathic
By what mechanism do NSAIDs decrease amniotic fluid volume? Knocks out fetal renal f'n by decreasing renal blood flow
What test are used to confirm rupture of membranes? Pooling, nitrazine paper test, ferning test, oligo on US
Explain the nitrazine paper test. What causes false +? Paper turns blue in the alkaline amniotic fluid. Semen and blood can cause false +.
What is the definition of PROM? Spontaneous rupture of membranes prior to labor
What is the difference between PROM and PPROM? PPROM happens prior to 37wk pre-term
When should you suspect chorioamnionitis in a pt with PROM? Fever, wt ct, uterine tenderness, fetal distress (tachy), maternal tachy, foul discharge
Created by: sarah3148